Organization Active NPI

Body by Design Wellness Chiropractic PLLC

  • Chiropractor
  • Garden City, NY
National Provider Identifier
1083075055
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X-011545-1 Issued in NY
Legal business name
BODY BY DESIGN WELLNESS CHIROPRACTIC PLLC
Practice address
500 Old Country Rd
Suite 314
Garden City, NY 11530-1901
Phone
(516) 279-6330
NPI assigned
Mar 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ryan D Braverman, DCNPI 1174711097
Title
Owner
Phone
(516) 279-6330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X-011545-1 NY Primary

Addresses

Primary practice location

500 Old Country Rd
Suite 314
Garden City, NY 11530-1901

Mailing address

500 Old Country Rd
Suite 314
Garden City, NY 11530-1901
Phone (516) 279-6330

National Provider Directory

National Provider Directory

Locations

500 Old Country Rd
Ste 314
Garden City, NY 11530
Phone (516) 279-6330

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458172800000",
    "number": "1083075055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OLD COUNTRY RD",
            "address_2": "SUITE 314",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301901",
            "telephone_number": "516-279-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD COUNTRY RD",
            "address_2": "SUITE 314",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301901",
            "telephone_number": "516-279-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BY DESIGN WELLNESS CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-17",
        "last_updated": "2016-03-17",
        "status": "A",
        "authorized_official_last_name": "BRAVERMAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-279-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X-011545-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.